Michelle Kenney, MD | |
402 W Jefferson St, Kirksville, MO 63501-3407 | |
(660) 627-2229 | |
Not Available |
Full Name | Michelle Kenney |
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Gender | Female |
Speciality | Pediatrics |
Location | 402 W Jefferson St, Kirksville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134501125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2015017626 (Missouri) | Secondary |
208000000X | Pediatrics | 2018008509 (Missouri) | Primary |
Entity Name | Northeast Missouri Health Council Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104829498 PECOS PAC ID: 1658280805 Enrollment ID: O20040112000061 |
Mailing Address | Practice Location Address |
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Michelle Kenney, MD 1416 Crown Dr, Kirksville, MO 63501-2548 Ph: (660) 627-5757 | Michelle Kenney, MD 402 W Jefferson St, Kirksville, MO 63501-3407 Ph: (660) 627-2229 |
Roxana Ionas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 402 W Jefferson St, Kirksville, MO 63501 Phone: 660-627-2229 Fax: 660-627-2233 | |
Jesse Anne Lobb, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 W. Jefferson, Kirksville, MO 63501 Phone: 660-627-2229 Fax: 660-627-2233 | |
Dr. Katherine Anne Manning, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 402 W Jefferson St, Kirksville, MO 63501 Phone: 660-627-2229 | |
Dr. Daniel W Ulrich, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-626-0698 Fax: 660-627-5872 | |
Mrs. Corrie Christianna Danks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 660-665-4432 Fax: 660-956-4392 |